Treatment of hydronephrosis by urologist-andrologist Sergey Nikolaevich Glushchenko in Dnipro.

Patients present with complaints such as lower back pain, swelling in the kidney area, frequent urges to urinate, and abdominal discomfort.

The doctor conducts a thorough clinical evaluation, analyzes the complaints and medical history, and, if necessary, orders examinations to clarify the condition.

As a result, the patient receives a clear action plan: recommendations for primary measures, a list of necessary tests, and a strategy for monitoring the condition.

Special attention is given to differential diagnosis of the causes and management of patients over time to prevent complications.

When to See a Doctor

If you notice problems with kidney function or discomfort in the lower back area, it is important not to delay visiting a specialist. Symptoms of hydronephrosis can vary and sometimes worsen gradually. Consulting a urologist-andrologist will help determine the causes of the symptoms, perform the necessary examinations, and decide on the best course of action. You should make an appointment with a urologist-andrologist if you experience any of the following with hydronephrosis:

• Constant or intermittent pain in the lower back on one or both sides
• A feeling of heaviness or fullness in the kidney area
• Swelling or puffiness in the lower back region
• Frequent urges to urinate or changes in urination patterns
• A sensation of incomplete bladder emptying
• Deterioration in overall wellbeing without obvious reasons
• Recurrent or worsening symptoms that were not previously troubling
• Symptoms that interfere with work or normal sleep
• No improvement after self-care measures or previously prescribed treatment
• First time experiencing these complaints
• Exacerbation of existing symptoms
• Need to clarify the causes of symptoms in the context of chronic diseases

If you notice one or more of these signs, consulting a doctor will help assess your condition and identify possible complications. Avoid trying to manage the problem on your own, especially if symptoms persist or worsen. The doctor will conduct the necessary examinations and offer an appropriate monitoring and treatment plan, taking into account the specifics of your condition.

Emergency Conditions or When to See a Doctor Immediately

• sudden severe lower back pain that rapidly worsens
• sharp deterioration of overall condition, weakness, and dizziness
• high fever with chills accompanied by pain in the kidney area
• difficulty or painful urination accompanied by blood
• combination of intense pain and pronounced swelling in the lower back area

If you experience these symptoms, do not wait for a scheduled appointment—seek urgent medical help promptly. Our clinic offers a home doctor visit service for quick examination and support.

Causes and Risk Factors

Understanding the main causes and risk factors helps to better comprehend the possible reasons for the development of hydronephrosis and to pay attention to important points for examination. If there are any suspicions, it is recommended to consult a doctor for an accurate assessment of the condition.

Primary Causes / Mechanisms (Brief)

• Impaired urine outflow from the kidney, often due to obstruction
• Presence of stones in the kidneys or ureters that obstruct the free flow of urine
• Congenital abnormalities in the structure of the urinary tract
• Inflammatory processes that narrow the lumen of the urinary tract
• Complications following surgeries on the genitourinary system

Risk Factors

• Recurrent or chronic urinary tract infections
• History of urolithiasis (kidney stones)
• Trauma to the lumbar region
• Age over 40–50 years
• Urination disorders or prostate diseases in men
• Hereditary predisposition to kidney problems
• Insufficient fluid intake during the day
• Neglecting regular check-ups in cases of chronic diseases

Reversible Causes That Should Be Ruled Out

• Acute inflammatory processes in the kidneys and urinary tract
• Temporary spasms and inflammation leading to narrowing of urinary passages
• Infections treatable with antibiotics and anti-inflammatory therapy

Hydronephrosis can develop due to various causes, and accurate diagnosis requires examination by a specialist. This allows for selecting an appropriate plan of action and avoiding complications.

Diagnosis

Diagnosis of hydronephrosis is aimed at identifying the cause of urinary outflow obstruction and assessing the condition of the kidneys. This approach helps to develop a safe and clear plan for further management.

Diagnostic Approach

• collecting complaints and medical history, including description of symptoms and their progression
• external examination and palpation of the kidney and abdominal areas
• ordering basic urine and blood tests to evaluate organ status
• performing instrumental studies as indicated to clarify structural changes
• evaluating examination results and discussing the plan for further diagnostics or treatment
• referring to related specialists for additional consultation if necessary
• dynamic monitoring and repeat examinations when needed

Typical Investigations as Indicated

• ultrasound examination of the kidneys and urinary tract
• complete urine and blood analysis
• computed tomography (CT) or magnetic resonance imaging (MRI) for detailed assessment
• excretory urography to evaluate urinary tract patency
• cystoscopy if there is suspicion of internal changes in the bladder

What to Bring to the Appointment

• results of previous examinations and tests, if available
• list of medications being taken, including dosages
• description and diary of symptoms if changes in condition are observed
• medical records from other healthcare facilities related to urological issues

Thorough diagnosis helps to precisely determine the causes of hydronephrosis and choose a further plan for examination and treatment based on the patient’s individual characteristics.

Treatment

Treatment of hydronephrosis is aimed at reducing symptoms and restoring the proper outflow of urine from the kidney. The therapy plan is selected individually, taking into account the specific condition and the results of examinations.

Goals of therapy

• to reduce pain and discomfort
• to correct the causes that disrupt urine outflow
• to preserve kidney function and prevent deterioration
• to prevent possible complications and recurrent episodes

Main treatment approaches

• may include medication therapy to reduce inflammation and symptoms
• use of non-pharmacological methods, such as physiotherapy and rehabilitation
• surgical interventions when indicated to restore the patency of the urinary tract
• protection of kidney function considering comorbidities and the patient’s overall condition
• therapy is individualized and may combine several approaches as indicated

What the doctor does

• evaluates diagnostic results and selects an appropriate treatment plan
• adjusts therapy based on progress and the appearance of side effects
• considers comorbidities and patient-specific factors
• explains criteria for assessing treatment effectiveness and the importance of adhering to recommendations
• coordinates treatment with other specialists if necessary

What to expect: planning and monitoring

• approximate evaluation of therapy effectiveness through regular visits and examinations
• adjustment of the plan if there is no improvement or if new symptoms appear
• long-term monitoring for chronic forms and prevention of exacerbations
• individualized approach to timing and methods of follow-up

To arrange an individualized treatment plan, schedule a consultation with Dr. Sergey Nikolaevich Glushchenko.

Prevention

Prevention of hydronephrosis is important to reduce the risk of complications and maintain kidney health. A prevention plan is tailored individually, taking into account your condition and risk factors.

Main Primary Prevention Measures

• maintaining normal hydration levels and adequate fluid intake
• timely treatment and prevention of urinary tract infections
• management of chronic diseases affecting kidney health
• avoiding injuries to the lumbar area and heavy lifting
• regular monitoring in case of urolithiasis (kidney stones) or urination disorders

Screening and Secondary Prevention / Regular Monitoring

• regular monitoring of kidney function and urine tests as indicated
• ultrasound of the kidneys and urinary tract for timely detection of changes
• consultations with a urologist as recommended by your doctor to assess the effectiveness of prevention
• monitoring symptoms and seeking medical attention promptly if changes occur

Practical Advice

• discuss treatment adjustments with your doctor if you have comorbid conditions
• maintain physical activity at a comfortable level and as advised by your doctor
• avoid hypothermia and strain on the lumbar region
• monitor regularity of urination and avoid delays
• schedule regular visits to a specialist to assess your condition

Preventing hydronephrosis helps preserve kidney health and minimize risks, but requires an individualized approach and medical supervision.

Important to Know

The treatment of hydronephrosis requires a comprehensive approach aimed not only at relieving symptoms but also at identifying the underlying cause of the condition. Early assessment of the patient's condition helps to choose the optimal strategy and reduce the risk of complications or disease progression. Sometimes, long-term monitoring and adjustment of the treatment plan are necessary, taking into account changes in the patient's status. It is important to consider that general factors such as stress, physical activity, and comorbidities can influence the course of the disease. Self-treatment of hydronephrosis can complicate diagnosis and lead to unwanted side effects.

• Identifying the causes of urinary outflow obstruction helps determine which treatment will be effective
• Timely consultation with a doctor reduces the risk of kidney damage and complications
• Ongoing monitoring allows therapy adjustments and control of the condition
• Physical exertion, stress, and other factors can affect symptom severity and disease progression
• Self-treatment can mask symptoms and hinder accurate diagnosis
• Our clinic uses gentle methods for the treatment and monitoring of hydronephrosis

If you want to learn more about the causes, symptoms, and treatment options for hydronephrosis, we recommend reviewing our detailed information on the page “Hydronephrosis: Symptoms and Treatment.” This information will help you better understand the condition and make timely, informed decisions together with your doctor.

Self-care Before the Appointment: What You Can and Cannot Do

Before seeing a doctor, it is helpful to take a few safe steps to alleviate your condition and prepare for the consultation. It is important to avoid actions that may distort the picture of hydronephrosis or cause deterioration. If you notice any alarming signs, immediately seek help from Dr. Sergey Nikolaevich Glushchenko.

What You Can Do Before the Appointment

• Write down when and how the symptoms appeared, and what worsens or relieves your condition
• Bring a list of all medications you are taking along with their dosages, if known
• Measure and record your temperature if it rises above normal
• Keep a symptom diary noting the time and intensity of pain or discomfort
• Reduce physical activity and ensure you get plenty of rest before your visit
• Drink enough fluids unless contraindicated
• Avoid starting new medications without consulting a specialist
• Keep any previous test results and examination reports, if available

What You Should Not Do Before the Appointment

• Do not change dosages or stop taking prescribed medications on your own
• Do not start combining several new medications without medical advice
• Do not use folk remedies promising quick relief
• Do not ignore increasing pain or the appearance of new symptoms
• Do not self-treat based on internet advice or unverified information
• Do not delay seeing a doctor if your condition worsens or swelling appears
• Do not attempt to diagnose yourself or interpret test results independently
• Do not subject yourself to excessive physical stress or exposure to cold

If you experience signs of an emergency, immediately seek help from Dr. Sergey Nikolaevich Glushchenko.

How I Can Help as a Doctor with Hydronephrosis

During a consultation for hydronephrosis, I will help you understand the causes of the current situation and assess the severity of the condition. It is important to determine how your current state affects kidney function and your overall well-being. Together, we will develop a plan for examination and treatment, taking into account your individual characteristics and any comorbidities. We will also discuss how to monitor your condition, when to come for follow-up visits, and which measures can help reduce risks.

In a hydronephrosis consultation, I can assist you with the following:

• Analyzing your complaints and gathering your medical history to identify possible causes
• Assessing the severity of symptoms and understanding the risks to your kidneys
• Reviewing current prescriptions and evaluating tolerance to medications already in use
• Developing a plan for next steps: examination → treatment → regular monitoring
• Considering comorbidities and medications for safe management
• Providing lifestyle and regimen recommendations based on your specific needs
• Explaining how to track changes in your condition and when to seek follow-up care
• Conducting preliminary diagnostics and ruling out other possible causes of symptoms
• Adjusting treatment if there is insufficient effect or if side effects occur

Seeing a doctor allows for a comprehensive analysis of your condition and the creation of an effective management plan for hydronephrosis. This approach helps preserve kidney function and prevent complications. If necessary, I can also recommend additional tests and coordinate with other specialists for a comprehensive solution.

What questions can I ask the doctor regarding hydronephrosis?

During a consultation about hydronephrosis, you can discuss the following situations and symptoms with Sergey Nikolaevich Glushchenko:

• Pain and discomfort in the lower back or abdominal area
• Frequent or painful urination, changes in its characteristics
• Swelling or a feeling of heaviness in the lumbar region
• Worsening general well-being, weakness, fatigue
• Recurring or intensifying symptoms that do not go away
• Lack of effect from previously prescribed treatment
• Need for a second opinion regarding examinations and results

In case of sudden severe pain, difficulty urinating with blood, or high fever — urgent medical attention is required; do not wait for a scheduled appointment.

Questions you can discuss during the appointment

• What is happening to me, and what could it be?
• Why have the symptoms appeared now?
• How can I be sure that my complaints are related to hydronephrosis and not other problems?
• What examinations are necessary in my particular case?
• Which tests and investigations are mandatory, and which can be skipped?
• How should I prepare for examinations or the doctor's appointment?
• What treatment options are available, and how do they differ?
• Is it possible to completely get rid of the problem, or is this a chronic condition?
• What should I do if the prescribed treatments are not effective?
• Can the condition be managed without surgery or other procedures?
• How long does treatment usually last, and how often is follow-up needed?
• What signs indicate improvement or deterioration?
• What actions should be taken in case of sudden worsening or symptom flare-up?

During the consultation, you will receive a thorough review of your symptoms and factors affecting your condition. The doctor will help determine the optimal examination and treatment plan considering all your health specifics, and will advise when urgent care or referral to other specialists is necessary.

How the Consultation Proceeds

A consultation with a doctor involves a detailed review of your complaints, an assessment of your condition, and the development of a plan for further actions. The extent of necessary examinations is determined individually, based on indications, and depends on your condition and complaints. The goal of the visit is to identify what is causing the symptoms and how best to proceed, though a definitive diagnosis is not always made during the first appointment.

1. Clarifying complaints and the purpose of the visit: the doctor finds out exactly what is bothering you, how long the symptoms have been present, what worsens or improves your condition, as well as your expectations from the consultation.
2. Gathering medical history and risk factors related to the kidneys and urinary system, including past illnesses and lifestyle specifics.
3. Reviewing the results of previous examinations and treatments (if any), with a recommendation to bring all existing documents and a list of medications taken.
4. Performing a physical examination and, if necessary, simple profile tests to assess the condition (e.g., palpation, basic measurements) — as indicated.
5. Discussing preliminary conclusions: the doctor explains what is likely causing the symptoms, which conditions need to be ruled out, without providing a final diagnosis.
6. Formulating a plan for further examinations — which may include ultrasound of the kidneys and urinary tract, urine and blood tests, computed tomography, or other procedures as indicated.
7. Developing a general treatment or monitoring plan: prescriptions are tailored individually, without specific details during the first visit.
8. Explaining when and how to undergo follow-up checks, what to monitor regarding your condition, and under which circumstances to contact the doctor sooner.

If this is your first visit, special attention is paid during the consultation to clarifying symptoms and identifying possible causes. If previous treatment has been ineffective, the discussion will focus on analyzing causes and adjusting the management plan.

Preparation for Your Appointment

To ensure your consultation with the urologist-andrologist is effective and you receive accurate examinations and recommendations, it is important to prepare properly. Follow this checklist before your visit:

• Bring a list of all current medications, including their names and dosages, if you know them.
• Take copies of previous examination results, images, and tests, including ultrasounds, CT scans, and urine and blood analyses.
• Write down your main complaints: when symptoms began, and what worsens or alleviates your condition.
• Prepare any questions you want to discuss with the doctor.
• Do not stop taking prescribed medications without consulting your doctor.
• If instructed, come fasting — do not eat or drink for 8–12 hours before the appointment (unless otherwise advised; confirm when booking).
• Avoid using cosmetics, creams, or lotions on the area to be examined, if applicable.
• Arrive 10–15 minutes early to complete any necessary paperwork.

If you have any doubts about preparation or medication intake, it’s best to clarify all questions when booking your appointment or by phone. Do not change your treatment plan without consulting your doctor.

About the Doctor

Sergey Nikolaevich Glushchenko is a urologist-andrologist, a first-category physician with 20 years of experience. He specializes in the diagnosis and treatment of hydronephrosis, working with patients during initial consultations, recurrent symptoms, and cases where previous treatments have been ineffective.

The doctor pays special attention to differential diagnosis of causes and ongoing patient management. During the consultation, you will receive a clear explanation of the situation and recommendations for further actions to monitor and improve your condition.

Why Patients Choose Dr. Sergey Nikolaevich Glushchenko

When consulting with Dr. Sergey Nikolaevich Glushchenko, patients experience a systematic approach to solving problems related to hydronephrosis. The doctor pays close attention to analyzing the causes of symptoms and performing differential diagnosis, which helps to choose the right therapy and monitoring tactics. There is a clear understanding of the treatment plan and the criteria for evaluating effectiveness, ensuring patients receive the most transparent care possible.

A high level of attention to comorbidities minimizes risks and allows therapy to be tailored to individual characteristics. Additionally, the doctor provides dynamic follow-up—monitoring the condition and adjusting the plan as needed.

• Clear treatment plan with a step-by-step scheme and timelines for monitoring
• Examinations prescribed strictly based on indications, without unnecessary tests
• Consideration of comorbidities and drug interactions to ensure safety
• Monitoring and adjustment of therapy if effectiveness decreases or side effects appear
• Review of results from previous examinations for an accurate assessment of the situation
• Explanation of goals and potential risks in a clear and accessible language
• Emphasis on complication prevention and timely warning of exacerbations

This approach not only enables effective management of hydronephrosis but also ensures patient comfort by avoiding unnecessary worries and unwarranted procedures. Patients receive support at every stage—from diagnosis to recovery monitoring—helping them better understand and manage their condition in partnership with their doctor.

Case Studies

Initial Consultation for Lower Back Pain and Urination Disorders

A middle-aged patient presented with complaints of intermittent lower back pain and difficulty urinating. It was important to rule out various causes, including infectious and mechanical obstructions in the urinary tract. The physician conducted a thorough medical history and ordered necessary examinations to assess the condition of the kidneys and urinary tract. Based on the diagnostic results, a treatment strategy was developed to manage the symptoms. Over several weeks, there was a reduction in pain and improvement in urination. The patient was placed under regular follow-up to monitor progress and prevent complications.

Therapy Adjustment in Case of Primary Treatment Ineffectiveness

An elderly patient with a previously diagnosed urinary outflow obstruction reported persistent symptoms despite treatment. The physician carefully reviewed prior prescriptions and therapy tolerance, which helped identify possible reasons for the lack of expected effect. Adjustments were made to the patient management plan, and additional examinations were recommended as indicated to clarify the condition. Over time, symptom stabilization and improved kidney function were observed. Ongoing monitoring with treatment plan adaptation as needed continues.

Chronic Hydronephrosis in the Context of Comorbidities

A young woman with chronic kidney dysfunction and accompanying endocrine disorders came for systematic monitoring. The physician evaluated the impact of comorbidities on the course of hydronephrosis and considered possible drug interactions. During the consultation, a comprehensive management plan was developed, including regular check-ups and therapy adjustments based on changes in condition. Over several months, improvement in overall status and reduction of symptom severity were noted. The patient remains under regular observation.

Symptom Exacerbation and Prevention Planning

A patient reported a sudden deterioration with increased pain and swelling in the lower back area. The physician promptly assessed the condition, ruled out emergency causes, and adjusted the treatment plan with a focus on preventing recurrent exacerbations. Additionally, scheduled monitoring with regular visits was arranged for timely therapy adaptation. In the following weeks, symptom stabilization and reduction were observed. Preventive measures are ongoing to reduce risks.

Second Opinion and Analysis of Complex Cases

A patient sought a second opinion regarding a complex case with a prolonged disease course and ambiguous examination results. The physician re-evaluated the symptoms, reviewed existing data, and proposed additional diagnostic methods for clarification. This approach helped identify key aspects of the patient’s condition and build an optimal treatment strategy. After implementing the new recommendations, improved control over the condition was noted. Dynamic monitoring and patient support continue.

How long does the consultation last?

On average, a consultation takes 30–60 minutes. Please confirm the exact duration when booking your appointment.

How should I prepare for the appointment?

Note when your symptoms began, what worsens or alleviates your condition, and prepare any questions you want to ask the doctor.

What should I bring to the appointment?

Bring the results of previous examinations, images, test results, and a list of any medications you are currently taking.

Do I need to come on an empty stomach?

Usually not, unless there are special instructions. Please clarify when booking your appointment.

How many visits are usually required for treatment?

The number of visits depends on the complexity of your case and the chosen approach. Typically, several appointments are needed for diagnosis and monitoring.

When can I expect the first results after starting treatment?

This depends on your condition and therapy; timelines are discussed individually.

What should I do if my condition worsens before the appointment?

If symptoms worsen with severe pain, high fever, or difficulty urinating, seek urgent medical help immediately.

Can treatment be combined with my current medications?

Discuss all medications with your doctor during the appointment. Do not stop or add any drugs on your own.

Is it possible to have an online consultation?

Yes, online consultations are available. Please check the conditions when booking.

Can I come with tests I have already done?

Yes, it is advisable to bring any existing test results for assessment.

Do I need to come back for follow-up visits and how often?

Follow-up visits are scheduled as needed to monitor progress and adjust treatment.

Can I get a second opinion about my case?

Yes, you can discuss your existing test results and treatment for an additional assessment.

What should I do if symptoms return after improvement?

Inform your doctor immediately — adjustments to your monitoring plan or treatment may be necessary.

How can I tell if my symptoms are related to hydronephrosis?

This is determined during the consultation through examinations and symptom analysis.

What tests are usually prescribed for hydronephrosis?

Tests are selected individually and may include ultrasound, urine, and blood tests as indicated.

How should I prepare for the tests?

Your doctor will explain the preparation details during the appointment or when booking; usually, there are no special restrictions.

What if the treatment does not work?

Inform your doctor so the strategy can be reviewed and therapy adjusted if needed.

Can I relieve symptoms myself before the appointment?

Self-treatment may complicate diagnosis. It is best to consult a doctor for an accurate assessment of your condition.